经尿道绿激光汽化术联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石（附26例报告）

苏彦慧; 李健; 张志华; 王小波; 于正刚

经尿道绿激光汽化术联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石（附26例报告）

- 1. 天津医科大学研究生院(天津, 300070);
- 2. 天津市人民医院泌尿外科

详细信息

通讯作者: 李健,E-mail:lijian_umc@sina.com

中图分类号: R697

收稿日期: 2012-12-25

Greenlight photoselective vaporization of the prostate combining with transurethral pneumatic and ultrasound lithotripsy in the treatment of benign prostatic hyperplasia with bladder calculi (Report of 26 cases)

- 1. Graduate School of Tianjin Medical University, Tianjin, 300070, China;
- 2. Department of Urology, Tianjin People's Hospital

More Information

Corresponding author: LI Jian, E-mail: lijian_umc@sina.com

Received Date: 25 December 2012

摘要

摘要: 目的：探讨腔内治疗BPH并发膀胱结石的有效方法。方法：采用经尿道前列腺绿激光汽化术（PVP）联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石26例。结果：26例均一次手术成功，清石率达100%。无大出血、无膀胱穿孔及严重感染等并发症发生。术后住院3~5 d，最大尿流率较术前明显改善。结论：绿激光汽化术联合肾镜下超声气压弹道碎石术治疗BPH并发膀胱结石，创伤小、恢复快、安全高效，是治疗BPH并发膀胱结石的理想方法。
- 前列腺增生 /
- 膀胱结石 /
- 绿激光 /
- 前列腺汽化术 /
- 碎石术
Abstract: Objective: To explore the effective endoscopic treatment for patients with benign prostatic hyperplasia (BPH) complicated with bladder calculi.Method: Twenty-six patients of BPH with bladder calculi were treated with greenlight photoselective vaporization of the prostate(PVP) followed by transurethral pneumatic and ultrasonic lithotripsy.Result: All the operations were successful with the stones removed completely. There was no such severe complications as bleeding, bladder perforation and severe infection occurred during and after operation. The postoperative hospitalization was 3-5 days. The maximal flow rate increased significantly in all patients.Conclusion: PVP combined with transurethral pneumatic and ultrasound lithotripsy proves to be an effective and safe method for patients with BPH and bladder calculi.
- benign prostatic hyperplasia /
- bladder calculi /
- greenlight /
- photoselective vaporization of the prostate /
- lithotripsy

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参考文献(5)

[1]	Kumar S M. Photoselective vaporization of the prostate:a volume reduction analysis in patients with lower urinary tract symptoms secondary to benign prostatic hyperplasia and carcinoma of the prostate[J]. J Urol, 2005, 173:511-513.
[2]	Ruszat R, Wyler S, Forster T, et al. Safety and effectiveness of photoselective vaporization of the prostate (PVP) in patients on ongoing oral anticoagulation[J]. Eur Urol, 2007, 51:1031-10388; discussion 1038-1041.
[3]	李健, 冯起庆, 张廷继, 等. 经尿道前列腺增生绿激光汽化术与汽化电切术的疗效比较[J]. 天津医药, 2011, 39(3):212-214.
[4]	Olbert P, Weber J, Hegele A, et al. Combining Lithoclast and ultrasound power in one device for percutaneous nephrolithotomy:in vitro results of a novel and highly effective technology[J]. Urology, 2003, 61:55-59; discussion 59.
[5]	李建兴, 牛亦农, 田溪泉, 等. 经皮肾镜气压弹道联合超声碎石术的安全性及疗效分析[J]. 中华医学杂志, 2006, 86(28):1975-1977.